| NPI | 1881178846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK E COLABELLA Owner 800-849-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-20 |